Arizona Preferred Podiatry Management, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ARIZONA PREFERRED PODIATRY MANAGEMENT, LLC

Practice address

2919 S Ellsworth Rd Ste 124
Mesa, AZ 85212-2167

Phone

(480) 907-8217

NPI assigned

Aug 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Allen, D.P.M.

Title

Owner/Manager

Phone

(480) 907-8319

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1376198325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9058",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852149058",
            "telephone_number": "480-907-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 124",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122167",
            "telephone_number": "480-907-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PREFERRED PODIATRY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-907-8319",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.